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JDM031006
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A system of values (individualism, importance, of education and financial security), beliefs and practices that stems from ones concept of reality
Culture
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Health care services that are delivered in an outpatient, or nonhospital, setting.
Ambulatory Care
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Infections acquired after admission into a health facility
Nosocomial Infection
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Key elements involve the rught ti respectful and considerate care; accurate information about diagnosis, treatment and prognoses; informed consent; refusal of treatment; privacy confidentiality; advance directives review about own treatment; know identities and role of personel involved in care; knowing information and business relationship of those providing care
Paitents Bill of Rights
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Major area of laboratory services where blood and other types of blood fluids and tissues are analyzed
Clinical Pathology
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Health care delivered in a hospital setting that is usually associated with a hospitol stay of less tha 30 days.
acute care
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Health care services that are provided for more than 30 days
Long-Term Care
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Refers to test and procedures that are actually performed at the patients bedside
point-of-care
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Performance expectations that include entry-level skills, tasks, and roles performed by the designated health care worker.
Competency statement
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In health care facilities, what are typical fomites?
- Door knobs
- Telephone
- Scrub Suits
- Phlebo Tray
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Which of the foloowing is\are considered sources of nosocomial infections?
- Medical reaagents
- visitors
- Foley catheter
- contaminated needle
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Disinfectants;
- Include chlorine bleach solution
- Remove or kill pathogenic microrganisms
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A phlebotomist had to avoid contact with patients for 24 hours after being started on an appropiate antiseptic and appearing symptom-free. What typesof infection could he or she have acquired for the above work limitations to apply?
Strep throat.
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Airbourne precautions may be required for patients infected with which condition(s)?
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Standard precautions are a combination of which of the following?
Universal precaustions and BSI practices
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The chain of nosocomial infections can be interrupted between mode of transmission and susceptible host by using which of the following?
- Handwashing
- Isolation techniques
- Use of disposal equipment
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Factors that affect hist susceptability include which of the foloowing?
- Age
- Drug Use
- Degree and nature of Illness
- Statues of Host's immune system
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Examples of setting the standard of care include
- licensing requirments
- professional publications
- Health care Facilities policies
- JCAHO
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On the elevator, a blood collector was discussing her colleagues that the patient in hospital room #8421 has AIDS. The blood collector was unaware that the patient's father was on the same elevator. What type of Legal action could evolve from this incident?
Negligence
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Bedside manner refers to the health care workers body position during venipuncture on a nedridden patient.
False
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Most patients admit that what they hate the most about being hospitalized is neing stuck.
True
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A phlebotomist should never introduce him or herself to the patient.
False
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Patients might feel faint or ill during a venipuncture procedure.
True
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Exact technical terminology should be used to explain a collection procedure to a patient.
False
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Sarcasm can easily be communicated by the tone of a health care worker's voice.
True
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Good grooming on the part of the phlebotomists communicated cleanliness and instills confidence in a person.
True
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Unless there is a critical timing issue, phlebotomists should delay a venipuncture if the patient is visiting with a priest or a chaplain. Clergy and patients have the right to visit privatley.
True
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Ethical behavior for phlebotomists usually indicated the concepts of honesty, integrity, and reguard for the dignity of the patient.
True
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Glass collection tubes are not desirable since risk of exposure to bloodbourne pathogens is increased due to possible breakage.
True
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The external tube diameter and length plus the maximum amount of specimen to be drawn into the vacuum are the two criteria used to describe vacuum tube size
True
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Tubes do not have an expiration date
False
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Anticoagulant often contain preservatives that can shorten the metabolism and life span of the red blood cell after blood collection.
False it extends the metabolism
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Coagulation of blood can be prevented by the addition of oxalates, citrates, ethylenediamine tetra-acetic acid (EDTA) or heparin
True
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The vanishpoint blood collection tube holder and small diameter tube adapter contain no ruber latex.
True
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The butterly needle is also referred to as a blood collection set or winged infusion set.
True
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Tourniquets are used in specimem collection to apply enough pressure to the arm to slow the return of arterial blood to the heart
False its venous
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Lasette penetrates to a depth of 3 to 5 mm and 250mm wide.
false
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Glycolysis in RBC's and WBC's causes a decrease in blood pH that can be detected after a blood gas sample has been stored at room temperature for ~ 20 min.
True
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____ topped vacuum tubes should not be used for collections for blood smears that are to be stained with Wrights stain.
Green
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Many Coagulations procedures, such as PT and APTT are done in blood collected in ____-topped vacuum tubes which contains sodiuum citrate at a concentration of 3.2 or 3.8 percent
Light Blue
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A ____-topped tubes with buffered sodium cirtrate is available for blood collection used to determine the erythrocytes sedimentation rate.
Black
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The ____ topped tubes are used to collect samples for nutritional studies, Therapeutic drug monitoring and toxicology.
Royal Blue
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____ topped vacuum tubes usually contains (1) potassium oxalate and sodium flouride or (2) lithium iodoacetate and heparin.
Gray
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The ___ topped tubes undicate a tube without anticoagulants for the collection of serum
Red
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The ___ topped vacuum tubes containing EDTA are used for most hamatology procedures
Purple
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The ___ topped tube contains heparin or no additives and is used for blood lead values.
Brown
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The ___ topped tube is used for lead testing and contains EDTA
Tan
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The anticoagulant soduim heparin, ammonium heparin, and lithium heparin are found in ___ topped vacuum tubes
Green
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The additive Sodium polyanethol sulfonate is in the ___ topped tubes for blood culture specimen collections in micobiology.
Yellow
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____tubes contain EDTA and are used for blood bank collections
Pink
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The measuring stick representing the conduct of the average health care provider in the community is the definition for
Standard of Care
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Which of the following exists when immediate action is required to save a patient's life?
Implied consent
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Malpractice legal cases involving health care provider's is based on the average health care provider in
The national community
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Which of the following interprets how statutory law applies to a given set of facts?
Judicial Law
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The use of electronic transfer of patients medical information is regulated by:
HIPAA
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A phlebotomists attempting to collect blood from a patient inserted the needle through the vein, through the muscle and into the nerve. This is grounds for:
Malpractice
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Laws are:
Societal rules or regulation
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A violation of a duty to exercise resonable skill and care in performing a task refers to:
Negligence
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When a health care provider gives aid at an accident he or she is usially protected through
Implied consent
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Failure to act or perform duties according to standards of the profession is
negligence
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Which of the following agencies evaluates the safety, clinical efficiacy and medical efficacy of the equipment and supplies used in blood collection
FDA
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Which of the following agencies maintains national survaeillance of health care workers accidental exposures?
CDC
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In legal cases what a resonable prudent person would do under similar circumstances refers to:
Standard of care
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If a physician orders laboratory tests for diagnoses, and the patients comes to the laboratory with a rolled-up sleeve, he or she is givine
Informed Consent
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